Shrinking the Malaria Map

UCSF Global Health Group’s Malaria Elimination Initiative (MEI)

District-level Readiness for Malaria Elimination Tool (DREAM-IT)

Why is assessing operational capabilities at the district level important for malaria elimination?

The WHO Global Technical Strategy for Malaria 2016–2030 (GTS) calls for malaria to be eliminated in at least 35 countries by 2030. To achieve these goals, the WHO emphasizes the need to progress from burden reduction in high transmission areas to the “elimination phase,” which aims to reduce incidence to zero. Malaria elimination programs are very operationally and logistically demanding. Every case must be investigated and managed to prevent onward transmission. Active foci must be investigated and managed, with effective vector control and drug-based interventions deployed to quickly halt transmission. To deliver on these demands, malaria programs need a broad range of operational capabilities. It is imperative that core operational gaps are identified and then addressed; however, many countries lack a formal framework for assessing operational capabilities.

What is the District-level Readiness for Malaria Elimination Tool (DREAM-IT), and why is it useful?

In response, UCSF-MEI has developed the District-level Readiness for Malaria Elimination Tool (DREAM-IT). The DREAM-IT tool is designed to systematically collect district-level information on a range of operational capabilities, which can then be used to inform malaria operational planning. It provides a template that can be tailored to country contexts.

Who should use this tool and how?

DREAM-IT can be used by national malaria programs to collect information on the operational capabilities at the district level. Results of assessments should be shared with national, provincial, and district malaria program staff so that programs can identify existing gaps and use the results to inform future operational planning. Results can also be used to strengthen surveillance and supportive supervision operations.

The MEI requests that national malaria programs andimplementing partners contact us whenusing any of the tools in the Malaria Elimination Toolkit.Support in implementing the tool may also be available.Please contact Laura Newman (laura.newman [at]

Download DREAM-IT.

Malaria Elimination Toolkit

About Our Tools

The Malaria Elimination Toolkit offers approaches that address the challenges confronting national malaria control programs in low-transmission settings. The MEI has built this toolkit around key areas that enable successful malaria elimination and prevention of reintroduction: advocacy, financing, regional collaboration, surveillance and response, and vector control. By supplementing global malaria policy and guidance, these tools aim to accelerate elimination efforts in countries that are paving the way for malaria eradication.